Dr Scott Bradley Mutchler, MD | |
3000 32nd Ave S, Fargo, ND 58103-6132 | |
(701) 364-8000 | |
Not Available |
Full Name | Dr Scott Bradley Mutchler |
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Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 3000 32nd Ave S, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942236419 | NPI | - | NPPES |
269757200 | Medicaid | FL | |
202065421 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 5699 (North Dakota) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 5699 (North Dakota) | Primary |
Entity Name | Scl Health Medical Group - Billings Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508289703 PECOS PAC ID: 9638491574 Enrollment ID: O20141204001495 |
Mailing Address | Practice Location Address |
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Dr Scott Bradley Mutchler, MD 400 East Third Street, Mcl2cred, Duluth, MN 55805-1951 Ph: (218) 786-1183 | Dr Scott Bradley Mutchler, MD 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
Lidia D Krasniewska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3620 Fax: 701-234-8831 | |
Muhammad Waqas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Waldemar G Storm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2261 Fax: 701-234-7194 | |
Dr. Michele Margaret Pasierb, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Brenda K Thurlow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2431 Fax: 701-234-3740 | |
Dr. Samuel Odame Anim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 | |
Dr. Kristina K Rauser-foltz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Avenue South, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 |